DAAS HBCU Tour Student Payment Form
TUESDAY, MARCH 31 - FRIDAY, APRIL 3, 2026
Student Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
School
*
What school do you currently attend?
Have you completed the registration form? If not, please complete that form before continuing
*
Yes
No
Which payment option are you making today ? (You have the option of splitting payments into 1 or multiple (or) making a FULL one-time payment)
*
#1 Partial Payment - $40 Due January 15th
#2 Partial Payment - $40 Due January 31st
#3 Partial Payment - $40 Due February 15th
#4 Partial Payment - $40 Due February 29th
#5 Partial Payment - $40 Due March 15th
(or) Full Payment $200
Select below to continue with payment
*
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next
( X )
Partial Payment #1
Payment is Non Refundable
$
40.00
Quantity
1
Partial Payment #2
Payment is Non Refundable
$
40.00
Quantity
1
Partial Payment #3
Payment is Non Refundable
$
40.00
Quantity
1
Partial Payment #4
Payment is Non Refundable
$
40.00
Quantity
1
Partial Payment #5
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
I'll Just Pay the Full Payment of $200 and Get it Out of the Way!
Payment is Non Refundable
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
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